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Related Experiment Videos

Right middle lobe collapse following right upper lobectomy.

R T Shipley1, M C Mahoney

  • 1Department of Radiology, University Hospital, Cincinnati, OH 45267.

Radiology
|March 1, 1988
PubMed
Summary

Post-lobectomy right middle lobe collapse is diagnosed using CT scans showing increased density and volume loss. Radiography reveals right hilar and paramediastinal opacities, mimicking mediastinal widening.

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Area of Science:

  • Thoracic Surgery
  • Diagnostic Imaging
  • Pulmonary Medicine

Background:

  • Right upper lobe lobectomy can lead to complications such as lung collapse.
  • Accurate diagnosis of post-operative lung collapse is crucial for patient management.

Observation:

  • Review of radiographic and computed tomographic (CT) examinations in four patients.
  • Patients presented with collapse of the right middle lobe following right upper lobectomy.
  • Imaging findings were analyzed for diagnostic patterns.

Findings:

  • CT demonstrated increased density and volume loss in the right middle lobe.
  • Displacement of the neofissure on CT indicated volume loss.
  • Plain radiography revealed right hilar and paramediastinal opacities.
  • Smooth margination of opacities simulated mediastinal widening in three patients.

Implications:

  • CT is crucial for diagnosing right middle lobe collapse post-lobectomy.
  • Radiographic findings can suggest this complication, guiding further CT evaluation.
  • Accurate diagnosis aids in appropriate patient management and treatment strategies.

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